Active NPI
Brent Glass, LPC
- Mental Health Counselor
- Dallas, TX
National Provider Identifier
1275557159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 15941
- Practice address
- 8035 E R L Thornton Fwy
Dallas, TX 75228-7018 - Phone
- (214) 334-2746
- Fax
- (214) 946-4690
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 15941 | TX | Primary |
Addresses
Primary practice location
8035 E R L Thornton Fwy
Dallas, TX 75228-7018
Mailing address
834 Thomasson Dr
Dallas, TX 75208-3954
Phone (214) 334-2746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15941 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212537600000",
"number": "1275557159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 THOMASSON DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752083954",
"telephone_number": "214-334-2746",
"fax_number": "214-946-4690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8035 E R L THORNTON FWY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752287018",
"telephone_number": "214-334-2746",
"fax_number": "214-946-4690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "BRENT",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2008-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "15941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.